Discussion: Patient Care

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Make forum posts: 1

Forum Instructions

In a post below, respond to the following prompt, which assesses CLOs 1, 4, and 7 and module learning objectives 1-6. Then, you must respond to two of your classmates' posts. After you post a response, you will be able to see other responses. You are not required to post more than once, but feel free to respond to other posts and engage with your classmates.

Response Posts: In addition to your original post, be sure to provide a meaningful response to at least two of your peers' posts by the end of the week. In your responses to your peers, you might offer some additional ideas for how you might motivate the team or present ideas for creating a more cohesive team.

You are required to post a minimum of three (3) times in each graded discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. CST on Wednesday. Discussions for each week close on Sunday at 11:59 p.m. CST. To receive credit for a week's discussion, students may begin posting no earlier than the Sunday immediately before each week opens. All discussion requirements must be met by that deadline. One resource is required with the initial discussion post each week. Use APA format for your resource(s).

Your responses should be at least 300 words long. This includes responses to other students' posts. A simple “I agree” or “Yes” or “LOL” will not count. Please think about the questions and your peers' responses and reply thoughtfully and courteously, according to netiquette rules. Use good English grammar, correct punctuation, and complete sentences. While the posts will mostly be judged by their thoughtfulness and completeness, I reserve the right to take off points for grammatical errors, especially if they interfere with the clarity of the post.

Discussion Topic

Your 75-year-old Hispanic female client was admitted for an abdominal hysterectomy due to fibroids and chronic pelvic pain. She is alert but not always oriented to place and time. She is out of recovery and was just transferred to the medical-surgical unit.

When you walk into her room, the client is complaining of pain 9 out of 10 on the pain scale. She is moaning and guarding her abdomen. Her vital signs are: 152/92, 24. 92, and 98.8°F

Her physician ordered IV Morphine for pain and Tylenol prn. She also has IV fluids infusing in her right antecubital.

Please answer the following questions:

Assessment
- What are your thoughts about her vital signs? How do her vital signs correlate with her pain rating?
- What are your priority nursing assessments for your client at this time?
Interventions:
- What pharmacologic and nonpharmacologic interventions would be appropriate for managing her pain?
- What factors should you consider before administering IV morphine?
Patient-Centered Care:
- How can you involve the client in her pain management plan?
- What teaching should be provided regarding use of the pain scale?
- What skills would be important in caring for the patient?
Safety:
- What are the potential risks of administering IV opioids postoperatively?
- What safety measures should be in place after administering morphine?
Collaboration:
- How can collaboration with the pain management team improve patient outcomes?
- What communication skills should you apply giving the patient context (age, cognitive status, physical condition)?